Provider Validation Specialist
Posted 25 days ago
You'll complete your application on OpsArmy's career site.
About the Role
The Provider Validation Specialist is responsible for investigating healthcare professionals to locate the appropriate recipients for medical records and billing paperwork. You will be instrumental in processing information requests accurately by defining the correct delivery method for each provider, such as mail, email, digital portals, or fax. Success in this position relies on your ability to perform detailed research and data management, ensuring that organizational systems remain reliable and efficient.
Requirements
- Demonstrate superior written English skills and an exceptional focus on accuracy.
- Possess robust research and verification capabilities, showing the ability to synthesize information from diverse sources and uphold high documentation quality.
- Be skilled at detecting errors, identifying gaps in data, and recognizing redundant records.
- While previous work with medical records is not mandatory, background in provider research, NPI lookups, billing entities, or knowledge of HIPAA authorization standards is an advantage.
- Maintain the ability to operate autonomously in a remote setting and align your work hours with the U.S. Eastern Time business schedule.
- Agree to participate in a timed assessment of your skills as part of the recruitment process.
Responsibilities
- Find and record precise submission protocols, recipient contact details, and specific attention departments for different medical providers.
- Determine if requests need to be categorized by custodian, timeframe, or type of record, and ensure all authorization forms meet specific provider guidelines.
- Use various digital tools, including vendor portals, healthcare websites, and internal databases to cross-reference data, conduct telephone verifications, and eliminate duplicate entries through detailed analysis.
- Address rejected or stalled requests by making adjustments, escalating difficult cases, and reporting up-to-date research and provider data to the rest of the team.
Benefits & Perks
- Engage in a full-time, remote position within a quick-moving, team-oriented workplace dedicated to precision.
- Acquire valuable knowledge of medical record workflows and healthcare information systems.
- Access opportunities for career progression into positions involving team leadership, quality control, provider data management, or senior-level validation.
Note: This listing is summarized and paraphrased by WorkNow from a publicly posted role. For the original wording and full details, please refer to the employer's official posting.
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